Individual
DR. PAUL ANTONIO OGANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 PHYLLIS DR STE B, PATCHOGUE, NY 11772
(631) 289-4700
Mailing address
77 OLD COUNTRY RD, DEER PARK, NY 11729-1833
(347) 641-9396
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
300634
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2012
Last updated
08/13/2019
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